nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical University10.24884/1561-6274-2004-8-1-84-88nefr-821Research ArticleЖУРНАЛ В ЖУРНАЛЕ. АКТУАЛЬНЫЕ ПРОБЛЕМЫ УРОЛОГИИJOURNAL IN THE JOURNAL. ACTUAL PROBLEMS OF UROLOGYОСЛОЖНЕНИЯ ЭНДОВИДЕОХИРУРГИЧЕСКИХ ОПЕРАЦИЙ НА ПОЧКАХ И МОЧЕТОЧНИКАХCOMPLICATIONS OF ENDOVIDEOSURGICAL OPERATIONS ON KIDNEYS AND URETERSАнтоновА. В.AntonovA. V.

Кафедра урологии

Санкт-Петербургский государственный медицинский университет им. акад. И.П. ПавловаRussian Federation200410012004818488Copyright © Антонов А.В., 20042004Антонов А.В.Antonov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/821

ЦЕЛЬ ИССЛЕДОВАНИЯ – выяснить характер и частоту осложнений, возникающих при эндовидеохирургическом лечении заболеваний верхних мочевых путей, определить способы их ликвидации и меры профилактики. ПАЦИЕНТЫ И МЕТОДЫ. Проведен анализ осложнений, возникших у пациентов, оперированных эндовидеохирургическим способом. Всего выполнено 224 операции, среди них: 51 нефропексия, 111 операций при жидкостных образованиях забрюшинного пространства, 17 нефрэктомий, 24 операции, направленные на восстановление проходимости лоханочномочеточникового соустья, 21 опера ция при мочекаменной болезни. РЕЗУЛЬТАТЫ. Всего зарегистрировано 7 осложнений и 9 конверсий доступов. В 0,9% (у 2 пациентов) пришлось прибегнуть к повторным операциям. Выявлены механизмы возникновения, частота и характер осложнений, причины конверсий, возникающих при эндовидеохирургическом лечении заболеваний верхних мочевых путей. Результаты исследования в целом совпадают с данными литературы. ЗАКЛЮЧЕНИЕ. Применение эндовидеохирургических технологий при операциях на верхних мочевых путях уменьшает общее количество осложнений и снижает их тяжесть.

THE AIM of the investigation was to establish the character and frequency of complications after endovideosurgical treatment of diseases of the upper urinary tracts, to determine the modes of their liquidation and measures of prophylactics. PATIENTS AND METHODS. The complications appearing in patients operated on by the endovideosurgical method were analyzed. There were 224 operations including 51 nephropexies, 111 operations for liquid formations in the retroperitoneal space, 17 nephrectomies, 24 operations for the reestablishment of patency of the pyeloureteral anastomosis, 21 operations in patients with urolithiasis. RESULTS. 7 complications and 9 conversions of the access were registered. In 2 patients (0.9%) reoperations had to be made. The mechanisms of the appearance, frequency and character of the complications, causes of the conversions arising from the endovideosurgical treatment of the upper urinary tracts were found out. The results obtained are as a whole similar to those described in the literature. CONCLUSION. The using of endovideosurgical techniques in operations on the upper urinary tracts decreases the total number of complications and reduces their severity.

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The authors declare that there are no conflicts of interest present.